Why the study?
Burnout is rising amid increasing demands for clinical productivity and strained resources, yet provider well-being is multifactorial and the construct lacks clarity.
A systems perspective on wellness in acute care surgery highlights the need for organizational changes to support provider well-being, mitigate burnout, and improve patient safety.
Clinician wellness lacks definitional clarity amid rising burnout; this Level 5 review leaves open standardized, effective interventions.
Providers are charged with responsibility to maintain their own health and wellness; however, well-being is multifactorial and the construct lacks clarity. In the current state of health care, burnout is on the rise with increasing demands for clinical productivity and strained system resources. The health care industry has recognized wellness's patient safety and financial impact, recently applying research and resources to identify sustainable solutions. We reviewed the wellness literature with a focus on systems to provide a framework for consensus building for a quality acute care surgery system. Our review revealed several areas within system wellness for consideration: (1) provider wellness, (2) culture of safety, (3) learning health systems, and (4) organizational perspectives. We provide specific system recommendations for the acute care surgery practice to preserve our workforce by creating a system that works for its providers.
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Appelbaum et al. (2024) studied this question.
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